Parkland formula
Standard calculation for fluid resuscitation in burn patients using weight and TBSA.
Full Definition
The Parkland formula is the most widely used method for calculating initial fluid resuscitation requirements in burn patients. The formula calls for 4 mL of lactated Ringer's solution per kilogram of body weight per percentage of TBSA burned, with half given in the first 8 hours and half in the subsequent 16 hours. The formula provides a starting point, but fluid rates must be adjusted based on urine output and other clinical parameters.
Usage
Usage note: Capitalize 'Parkland' as it refers to Parkland Hospital where the formula was developed.
In Context
- "Fluid resuscitation was initiated using the Parkland formula at 12 mL/kg/hr." — intensive care unit note
- "The Parkland formula serves as a starting point, but hourly urine output guides ongoing fluid management." — burn care protocol